Organization Active NPI

Sonoma Dental & Braces PLLC

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1073417655
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SONOMA DENTAL & BRACES PLLC
Practice address
10504 Amber Heart
Suite 102
San Antonio, TX 78252
Phone
(210) 660-3545
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tapan Tirumala Teja Vallabhaneni, DMD
Title
Manager
Phone
(210) 660-3545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

10504 Amber Heart
Suite 102
San Antonio, TX 78252

Mailing address

10504 Amber Heart
Suite 102
San Antonio, TX 78252
Phone (210) 660-3545

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1073417655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 AMBER HEART",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78252",
            "telephone_number": "210-660-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10504 AMBER HEART",
            "address_2": "SUITE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78252",
            "telephone_number": "210-660-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA DENTAL & BRACES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "VALLABHANENI",
        "authorized_official_first_name": "TAPAN TIRUMALA TEJA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-660-3545",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.